CTR074352_A1.pdf
PDF 417 KB Posted
- Attached to
- Master Agreement AZ|CTR074352
- Contract number
- CTR074352
- Issued by
- Arizona
About this file
This document is a Request for Proposal (RFP) Contract Amendment from the Arizona Department of Health Services, Office of Procurement, involving HRPP Community Health Nursing Services (CHN). The amendment is specifically for Yavapai County Community Health Services, located in Prescott, Arizona. The procurement officer for this amendment is Roy Vasel, and the contract number is CTR074352.
The amendment extends the existing contract through November 12, 2026, in accordance with the Special Terms and Conditions, Provision Three (3), Contract Extensions, 5 Year Maximum. The document indicates this is part of a standard contract extension process for community health nursing services. Additional supporting documentation includes a System for Award Management (SAM.gov) registration for Yavapai County, which confirms the entity's active registration status for federal assistance awards, with an expiration date of January 22, 2026. The county is registered as a U.S. Local Government entity with a unique entity ID of FYBRW2NQCR26 and is associated with the Yavapai County Education Service Agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2025.07.01_COI.pdf | ||
| Contract_Summary_Document.xlsx | XLSX spreadsheet | |
| State_of_Arizona_Health_Dept_Comm_Hlth_Nursing.pdf | ||
| 2025.07.01 COI CGL AL WC.pdf | ||
| 2026.07.01 COI CGL AL WC SAM.pdf | ||
| CTR074352_Contract_Documents.pdf | ||
| CTR074352_Pricing.xlsx | XLSX spreadsheet |
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Text version
Gina Digitally signed by Gina Corwin Date:
2025.08.12 13:53:53 -07'00' Corwin
YAVAPAI, COUNTY OF
Unique Entity ID
FYBRW2NQCR26
CAGE / NCAGE
5XM62
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Jan 22, 2026
Physical Address
2970 Centerpointe East DR
Prescott, Arizona 86301-8426
United States
Mailing Address
2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Business Information
Doing Business as
SCHOOL SUPERINTENDANT
Division Name
Yavapai County Education Service Agency
Division Number
Yavapai Co
Congressional District
Arizona 02
State / Country of Incorporation
(blank) / (blank)
URL
www.YavapaiCoESA.gov
Registration Dates
Activation Date
Jan 24, 2025
Submission Date
Jan 22, 2025
Initial Registration Date
Mar 23, 2010
Entity Dates
Entity Start Date
Dec 31, 1994
Fiscal Year End Close Date
Jun 30
Immediate Owner
CAGE
(blank)
Legal Business Name
(blank)
Highest Level Owner
CAGE
(blank)
Legal Business Name
(blank)
Executive Compensation
Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of
P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.
Proceedings Questions
Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.
Exclusion Summary
Active Exclusions Records?
No
SAM Search Authorization
I authorize my entity's non-sensitive information to be displayed in SAM public search results:
Yes
Entity Types
Business Types
Entity Structure
U.S. Government Entity
Entity Type
US Local Government
Organization Factors
(blank)
Profit Structure
(blank)
Last updated by Shari Sterling on Jan 22, 2025 at 12:17 PM YAVAPAI, COUNTY OF
Aug 14, 2025 05:33:14 PM GMT https://sam.gov/entity/FYBRW2NQCR26/coreData?status=null Page 1 of 2
Socio-Economic Types
Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the
SBA supplemental pages during registration.
Government Types
U.S. Local Government
County
Financial Information
Accepts Credit Card Payments
No
Debt Subject To Offset
No
EFT Indicator
CAGE Code
5XM62
Points of Contact
Electronic Business
Maria Gardea, Accounting Specialist 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Renee Raskin 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Government Business
Shari Sterling, Grants Manager 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Renee Raskin 2970 Centerpointe East Drive
Prescott, Arizona 86301
United States
Service Classifications
NAICS Codes
Primary NAICS Codes NAICS Title
Disaster Response
This entity does not appear in the disaster response registry.
Last updated by Shari Sterling on Jan 22, 2025 at 12:17 PM YAVAPAI, COUNTY OF
Aug 14, 2025 05:33:14 PM GMT https://sam.gov/entity/FYBRW2NQCR26/coreData?status=null Page 2 of 2
Gina
File details come from the government source that posted it. Updated .